Endurance closed-chain quadriceps exercises should begin such as Stairmaster, stationary bike, elliptical trainer, Nordic trac (short stride), etc. Focus on increasing endurance and should be performed 3 to 4 times per week.

Continue gait training, including progression to fast walking on a treadmill or even ground

If a pool is available, swimming may started but the frog-kick and breaststroke should be avoided. Progress deep to shallow water jogging.

Gait and range of motion should be normal by this phase. If it is not, contact Dr. Berkbigler

4 to 6 months:

4 to 5 times a week home program. May also have 2 visits per month to review home program with goals.

Continue exercises in previous phases (as described above)

Slow progression from fast walking to slow jogging on even ground or treadmill, or hill work. No cutting, jumping or pivoting